# COVENANT PHYSIATRY,SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710150453
- **Authorized official:** DR. SANDHYA R MEESALA MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (847) 852-6478

## Contact information

- **Practice address:** 1590 W ALGONQUIN RD, SUITE 167, HOFFMAN ESTATES, IL 60192-1575
- **Practice address phone:** (847) 852-6478
- **Practice address fax:** (847) 382-1646
- **Mailing address:** PO BOX 967, TINLEY PARK, IL 60477-0967
- **Mailing address phone:** (708) 532-6029
- **Mailing address fax:** (708) 532-6095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036110423 | IL | Yes |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 06/29/2015